0 00:00:00.125 --> 00:00:02.175 Have you ever been cursed at? 1 00:00:02.175 --> 00:00:03.625 I haven't but… 2 00:00:03.625 --> 00:00:06.075 I've been flirted at… 3 00:00:06.075 --> 00:00:06.925 Doctor~ 4 00:00:06.925 --> 00:00:08.424 If you're free this evening 5 00:00:08.424 --> 00:00:11.674 They were like that. So I was like what are they saying 6 00:00:11.674 --> 00:00:14.124 and kept them under a sleep a little longer 7 00:00:14.124 --> 00:00:19.274 Hello, I’m Dr. Yang Sunghyuk and this is Hugo Plastic Surgery TV that prioritizes people 8 00:00:26.373 --> 00:00:31.523 (Let's START our 3rd anesthesia story!) Just like in our last video, we'll continue today with various anesthesia 9 00:00:31.523 --> 00:00:33.523 that is performed in plastic surgery 10 00:00:33.523 --> 00:00:35.923 First of all, there's something I want to say 11 00:00:35.923 --> 00:00:38.173 Especially in sedation anesthesia 12 00:00:38.173 --> 00:00:41.672 Close monitoring is essential 13 00:00:41.672 --> 00:00:46.622 So don't worry too much about it! 14 00:00:46.622 --> 00:00:50.422 First, let me tell you about anesthesia for simple procedures 15 00:00:50.422 --> 00:00:53.822 For example, thread lifting is similar to eye surgery 16 00:00:53.822 --> 00:00:59.521 (Thread lifting anesthesia) We apply local anesthesia to areas where the thread will be inserted 17 00:00:59.521 --> 00:01:01.421 and we proceed with the procedure right away 18 00:01:01.421 --> 00:01:05.571 The procedure will probably take about 15 minutes 19 00:01:05.571 --> 00:01:09.521 By the time you wake up, the procedure will be over 20 00:01:09.521 --> 00:01:13.370 Then we will check if there is anything left in your sitting position 21 00:01:13.370 --> 00:01:17.120 We will also check if there is no thread protruding in your mouth 22 00:01:17.120 --> 00:01:19.270 Only then the procedure will be over 23 00:01:19.270 --> 00:01:23.870 Also, procedures like Ulthera or Rejuran Healer are performed under sedation 24 00:01:23.870 --> 00:01:27.919 Some hospitals use deep sedation for the procedure 25 00:01:27.919 --> 00:01:29.569 In my experience 26 00:01:29.569 --> 00:01:33.819 There are too many types of sedation that is being used 27 00:01:33.819 --> 00:01:38.819 (Disadvantages of sedation during surgery) It takes longer to recover and sometimes you can wake up 28 00:01:38.819 --> 00:01:42.319 from the sedation because of the pain and move around 29 00:01:42.319 --> 00:01:45.118 which makes the procedure difficult 30 00:01:45.118 --> 00:01:47.768 So I just put the patients under deep sedation 31 00:01:47.768 --> 00:01:50.018 And I do a regional block all over the face 32 00:01:50.018 --> 00:01:54.418 After that, the patients move less and feel less pain during the procedure 33 00:01:54.418 --> 00:01:57.468 So it's possible to have safe and accurate procedure 34 00:01:57.468 --> 00:02:00.767 Therefore, local anesthesia and regional block are necessary 35 00:02:00.767 --> 00:02:04.667 The sleep time will be the same at about 15 minutes 36 00:02:04.667 --> 00:02:08.017 Next is anesthesia during brow and facelifts 37 00:02:08.017 --> 00:02:12.417 When it comes with lifts, the procedure may take a little longer 38 00:02:12.417 --> 00:02:16.466 and since the surgery does not require consciousness for the result 39 00:02:16.466 --> 00:02:18.916 patients will be under for a longer period of time 40 00:02:18.916 --> 00:02:22.266 Of course, before any sedation, vital signs are monitored 41 00:02:22.266 --> 00:02:25.266 so the procedure is being carried out safely 42 00:02:25.266 --> 00:02:27.266 And the sedation that is being used 43 00:02:27.266 --> 00:02:31.865 are used in injection form to maintain a stable sleep state 44 00:02:31.865 --> 00:02:34.815 And to administer it at a constant rate 45 00:02:34.815 --> 00:02:37.715 A syringe pump is also used 46 00:02:37.715 --> 00:02:40.515 The order for anesthesia during lifts are basically 47 00:02:40.515 --> 00:02:43.415 sedation after disinfecting the face 48 00:02:43.415 --> 00:02:48.214 After confirming deep sleep, on each incision site 49 00:02:48.214 --> 00:02:51.964 And nerve bundles related to the surgical site, regional blocks are performed 50 00:02:51.964 --> 00:02:55.664 So, we prepare to prevent any possible pain from occurring 51 00:02:55.664 --> 00:02:58.664 Also, as the range of incision is quite wide 52 00:02:58.664 --> 00:03:00.964 To reduce the amount of bleeding during the surgery 53 00:03:00.964 --> 00:03:06.213 Tumescent solution, a mixture of anesthetic and hemostatic substances 54 00:03:06.213 --> 00:03:10.813 is injected widely in the surgical area and then we have to wait for about 15 minutes 55 00:03:10.813 --> 00:03:13.163 It is important to wait long enough during this time because 56 00:03:13.163 --> 00:03:18.562 After injecting the Tumescent solution, the capillaries contract due to the components of the solution 57 00:03:18.562 --> 00:03:23.412 this helps to reduce bleeding, and the time it takes for maximum effect to take place 58 00:03:23.412 --> 00:03:26.162 Takes more than 15 minutes 59 00:03:26.162 --> 00:03:30.262 So normally during this waiting time after injecting the Tumescent, 60 00:03:30.262 --> 00:03:32.212 We prepare the drape for the surgical procedure 61 00:03:32.212 --> 00:03:35.261 Once the drape is completed, almost exactly 15 minutes will have passed 62 00:03:35.261 --> 00:03:37.061 Then, the surgery is proceeded 63 00:03:37.061 --> 00:03:39.511 The purpose of sedation during a face lift is 64 00:03:39.511 --> 00:03:42.261 to prevent the patient from moving 65 00:03:42.261 --> 00:03:46.261 The surgery takes place while maintaining a sufficient depth of anesthesia to ensure the patient remains still 66 00:03:46.261 --> 00:03:50.760 So it is uncommon for a patient to be awaken fully and clearly during the operation 67 00:03:50.760 --> 00:03:54.860 If the patient does show signs of waking up, we adjust the dosage of the anesthesia to help them fall back into sleep 68 00:03:54.860 --> 00:03:58.760 Also, to ensure the patient doesn’t move, pain control is necessary 69 00:03:58.760 --> 00:04:02.110 Thus, this is a part that requires precise local anesthesia 70 00:04:02.110 --> 00:04:04.110 Once the surgery takes place, normally 71 00:04:04.110 --> 00:04:07.409 Patients typically sleep for about an hour during a brow lift 72 00:04:07.409 --> 00:04:11.209 For a facelift, patients typically sleep for about three hours 73 00:04:11.209 --> 00:04:14.209 After the surgery is finished, patients are taken to the recovery room 74 00:04:14.209 --> 00:04:16.409 To eliminate any remaining anesthesia in the blood, 75 00:04:16.409 --> 00:04:19.509 patients are given fluids intravenously to wash out the sleep anesthesia 76 00:04:19.509 --> 00:04:24.458 As long as the time spent sleeping, patients will have enough time to clean out with IV fluids 77 00:04:24.458 --> 00:04:29.058 So far, I have explained how the surgeries at our hospital 78 00:04:29.058 --> 00:04:31.558 Conduct anesthesia 79 00:04:31.558 --> 00:04:35.508 We have prepared a video to help you feel more comfortable during the surgery 80 00:04:35.508 --> 00:04:38.257 If you have any further questions, please leave them in the comments 81 00:04:38.257 --> 00:04:41.757 This was plastic surgery specialist, Dr. Yang Sunghyuk 82 00:04:41.757 --> 00:04:46.307 Are there any patients who require more anesthesia than others? 83 00:04:46.307 --> 00:04:47.807 Yes, definitely! 84 00:04:47.807 --> 00:04:48.657 Is it okay to say this? 85 00:04:48.657 --> 00:04:52.457 For those who are more tolerant to alcohol, more anesthesia may be needed 86 00:04:52.457 --> 00:04:55.356 Also, those who have had a lot of experience with sedation may also require more 87 00:04:55.356 --> 00:04:58.106 In some hospitals, they even ask how many bottles of soju and beer 88 00:04:58.106 --> 00:04:59.806 you can usually drink 89 00:04:59.806 --> 00:05:02.856 Actually, I'm not sure what the difference is between soju and beer is 90 00:05:02.856 --> 00:05:05.906 Anyways, it definitely has a strong correlation with drinking capacity